PATH MEDICAL, LLC (NPI# 1285178665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285178665 |
| Entity Type | Organization |
| Organization Name | PATH MEDICAL, LLC |
| Other Organization Name | PATH MEDICAL- BOCA |
| Practice Address |
2001 Palm Beach Lakes Blvd Ste 101 West Palm Beach FL 33409-6513 |
| Mailing Address |
2304 W Oakland Park Blvd Oakland Park FL 33311-1422 |
| Practice Telephone | 5612406584 |
| Practice Fax Number | 5614374142 |
| Mailing Telephone | 7542182164 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | DR. NEIL BONNARDEL (DIRECTOR OF MEDICAL SERVICES) |
| Authorized Official Telephone | 7542182164 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PATH MEDICAL CENTER HOLDINGS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Path Medical - Palm Beach Lakes | Doing Business As Name - Organization |
| Path Medical- Boca | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2300 Glades Rd, Suite 200e, Boca Raton, FL 334317386 | 5613929002 | 5615541030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358476 | Path Medical, LLC | Clinic/Center | 601 E Sample Rd Ste 102&109, Pompano Beach, FL 33064-4443 | 2018-03-06 |
| 1922500545 | Path Medical, LLC | Clinic/Center | 2900 N Military Trl Ste 120, Boca Raton, FL 33431-6347 | 2018-02-28 |
| 1588162838 | Path Medical, LLC | Clinic/Center | 4255 W Commercial Blvd, Tamarac, FL 33319-3305 | 2018-01-31 |
| 1316454788 | Path Medical, LLC | Clinic/Center | 859 Park Ave Ste 102, Orange Park, FL 32073-4151 | 2018-01-06 |
| 1972010346 | Path Medical, LLC | Clinic/Center | 9119 Merrill Rd Ste 32, Jacksonville, FL 32225-4306 | 2018-01-06 |
| 1477089688 | Path Medical, LLC | Clinic/Center | 6220 S Orange Blossom Trl Ste 606, Orlando, FL 32809-4688 | 2017-05-08 |
| 1609301308 | Path Medical, LLC | Clinic/Center | 809 S Florida Ave, Lakeland, FL 33801-5234 | 2017-05-01 |
| 1639603699 | Path Medical, LLC | Clinic/Center | 131 Patterson Rd, Haines City, FL 33844-7803 | 2017-04-17 |
| 1386185189 | Path Medical, LLC | Clinic/Center | 14824 N Florida Ave Ste A, Tampa, FL 33613-1844 | 2017-03-13 |
| 1518408533 | Path Medical, LLC | Clinic/Center | 3140 34th St N, St Petersburg, FL 33713-2404 | 2017-03-09 |
| Street Address |
2001 PALM BEACH LAKES BLVD STE 101 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33409-6513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928000 | Gerard Joseph Valerius Jr. | Behavior Technician | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-10-05 |
| 1295342277 | Stela Karkatselos | Nurse Practitioner | 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 | 2020-09-24 |
| 1831703974 | Daylin Gonzalez | Behavior Technician | 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-09-05 |
| 1518582436 | All-most Family, Inc | In Home Supportive Care | 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 | 2020-06-16 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1558915009 | Hess Massage and Fitness LLC. | Massage Therapist | 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 | 2019-08-01 |
| 1184195638 | Tyrone Woods | Developmental Therapist | 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 | 2018-12-10 |
| 1700352119 | Julio Cesar Lugo Sr. | Counselor | 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 | 2018-10-23 |
| 1073009353 | Kaitlyn Rose Green | Physician Assistant | 560 Village Blvd Suite #150, West Palm Beach, FL 33409 | 2018-07-10 |
| 1063901247 | Dominique J Carn | Technician, Other | 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 | 2018-05-03 |
| Find all providers in zip 33409 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356998637 | Advanced Children's Therapy II, Inc | Clinic/Center | 2100 45th St Ste B12, West Palm Beach, FL 33407-2064 | 2019-08-21 |
| 1639631302 | Core Medical Solutions | Clinic/Center | 400 Executive Center Dr Ste 206, West Palm Beach, FL 33401-2922 | 2019-04-02 |
| 1427565399 | Aids Healthcare Foundation | Clinic/Center | 1411 N Flagler Dr Ste 9300, West Palm Beach, FL 33401-3421 | 2018-01-02 |
| 1043625718 | Wpb Medical Provider, Inc. | Clinic/Center | 464 Fern St, West Palm Beach, FL 33401-5818 | 2014-06-21 |
| 1609105766 | Endocrinology & Diabetes Consultants | Clinic/Center | 112 1st Way, West Palm Beach, FL 33407-6601 | 2009-12-18 |
| 1902058118 | La Salud Medical & Rehab Center, Inc. | Clinic/Center | 2650 S Military Trl Ste 12, West Palm Beach, FL 33415-7506 | 2008-10-21 |
| 1194937557 | R E Max Solution Inc | Clinic/Center | 224 Datura St Ste 613, West Palm Beach, FL 33401-5634 | 2007-05-05 |
| 1821177650 | Berliant Sleep Services LLC | Clinic/Center | 2541 Metrocentre Blvd, Suite # 4, West Palm Beach, FL 33407-3154 | 2006-11-03 |
| 1902906282 | Dd American Group Inc | Clinic/Center | 2590 Forest Hill Blvd, West Palm Beach, FL 33406-5929 | 2006-09-25 |
| 1841232253 | Dr. John P Christensen P A | Clinic/Center | 3001 Broadway, West Palm Beach, FL 33407-5133 | 2006-06-11 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33409 |
Please comment or provide details below to improve the information on PATH MEDICAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.